A nurse is admitting a 3-year-old child who has pneumonia to a pediatric unit. Which of the following actions should the nurse take first?

Obtain a set of baseline vital signs

Perform a head-to-toe physical assessment

Review the child's immunization record

Ask about any known drug allergies

Answer and Explanation

The Correct Answer is A

Choice A reason: This action should be taken first by the nurse, as it provides essential data about the child's condition and helps identify any signs of deterioration or complications.

Choice B reason: This action should be taken by the nurse after obtaining a set of baseline vital signs, as it provides more comprehensive data about the child's physical status and helps identify any abnormalities or problems.

Choice C reason: This action should be taken by the nurse after performing a head-to-toe physical assessment, as it provides additional data about the child's risk of infection or adverse reactions to vaccines.

Choice D reason: This action should be taken by the nurse after reviewing the child's immunization record, as it provides important data about the child's risk of allergic reactions or drug interactions.

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Correct Answer is ["A","B","C"]

Explanation

Choice A reason: This information should be included in the discharge plan and home care education, as it helps ensure safe and effective medication management for asthma.

Choice B reason: This information should be included in the discharge plan and home care education, as it helps monitor and control asthma symptoms and guide appropriate actions based on the severity of the condition.

Choice C reason: This information should be included in the discharge plan and home care education, as it helps prevent or reduce exposure to allergens or irritants that can trigger or worsen asthma symptoms.

Choice D reason: This information is not specific for the discharge plan and home care education for asthma, as it applies to all children regardless of their health condition.

A. Avoid giving the child aspirin or other salicylates for pain relief. B. Encourage the child to drink plenty of fluids and eat soft foods. C. Monitor the child for signs of bleeding, such as frequent swallowing or spitting. D. Notify the physician if the child has a fever, sore throat, or ear pain.

Correct Answer is C

Explanation

Choice A reason: This instruction is important but not the most important for the nurse to give to the child and family, as it helps prevent Reye syndrome, a rare but serious condition that can affect the brain and liver.

Choice B reason: This instruction is important but not the most important for the nurse to give to the child and family, as it helps promote hydration and healing of the throat.

Choice C reason: This instruction is the most important for the nurse to give to the child and family, as it helps detect postoperative hemorrhage, a potentially life-threatening complication of tonsillectomy.

Choice D reason: This instruction is important but not the most important for the nurse to give to the child and family, as it helps identify infection or inflammation of the throat or ears.

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A nurse is admitting a 3-year-old child who has pneumonia to a pediatric unit. Which of the following actions should the nurse take first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is discharging a child who has asthma from a pediatric unit. What information should the nurse include in the discharge plan and home care education? (Select all that apply.)

Correct Answer is ["A","B","C"]

Explanation

A nurse is preparing to discharge a child who has undergone a tonsillectomy. What is the most important discharge instruction that the nurse should give to the child and family?

Correct Answer is C

Explanation

A nurse is discharging a 5-year-old child who has diabetes mellitus from a pediatric unit. Which of the following statements by the parent indicates a need for further teaching?

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